NPI age
19 years
Enumerated 2006-10-24
● Active Type 2 · Organization
Wal-Mart Stores, Inc
Wal-Mart Stores, Inc is 1 of 74 eyewear supplier organizations in Idaho.
Primary specialty
Eyewear Supplier
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gentile
Npi Coordinator
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05
How this organization compares
Across 74 active eyewear supplier providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 43% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2745 American Legion Blvd
Mountain Home, ID 836473185
Mailing address
702 Sw 8th St.
Bentonville, AR 727160235
Authorized official
Nicole D Gentile
Npi Coordinator
📞 3167885580
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Lee Carter, O.D. Optometrist NPI 1891789368
- Onome Jonah, PHARMACIST Pharmacist NPI 1619377959
- Joseph Pendleton, PHARMD Pharmacist NPI 1467802413
- Mischa Pesicek Pharmacist NPI 1609220094
- Donald Toolson Pharmacist NPI 1548679467
Specialties
-
Eyewear Supplier PrimaryAn organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
-
Technician/TechnologistOpticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Vision Center 30-2782
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.